9.The skin over the left groin was prepped and draped in a sterile fashion and anesthetized with 1% Xylocaine. Through a right femoral arteryaccess, a 5 French pigtail catheter was placed in the abdom inal aorta and a ru
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9.The skin over the left groin was prepped and draped in a sterile fashion and anesthetized with 1% Xylocaine. Through a right femoral arteryaccess, a 5 French pigtail catheter was placed in the abdom inal aorta and a run-off was performed following injection of 80cc of contrast. ObliqueDSA images of the iliac circulation were performed following two injections, each 15cc. Findings: Abdominal aorta: no signs of renal artery stenosis.There is mild atheromatous change involving the lower abdominal aorta. There are two eccentric plaques arising from the distal aorta just abovethe iliac bifurcation. There are high-grade stenoses involving both proximal iliacs, the right far more pronounced than the left. The right superficialfemoral, profunda femoral, popliteal arteries are normal. The trifurcation vessels are unremarkable. On the left, there is an eccentric plaque in thecommon femoral artery just below the catheter entrance site. This creates approximately 40-50% stenosis at this site. The remainder of theproximal femoral artery is normal. The trifurcation vessels and popliteal artery are normal. What CPT® codes are reported?(1 Point)36200, 75630-, 75630-26-, 75625-26, 75716-, 75625-26 10.Newborn twin girls were delivered in the hospital via cesarean section at 27 weeks, weighing 850 grams for twin A and 900 grams for twin B.Both were diagnosed with extreme immaturity. What ICD-10-CM codes are reported for both twins?(1 Point)P07.26, Z38.31P07.26, P07.03Z38.31, P07.03, P07.26P07.03, P07.26, Z38.31 11.An elderly female presented with increasing pain in her left dorsal foot. The patient was brought to the operating room and placed under generalanesthesia. A curvilinear incision was centered over the lesion itself. Soft tissue dissection was carried through to the ganglion. The ganglion wasclearly identified as a gelatinous material. It was excised directly off the bone and sent to pathology. There was noted to be a large bony spur at thelevel of the head of the 1 st metatarsal. Using a double action rongeur, the spur itself was removed and sequestrectomy was performed. A rasp wasutilized to smooth the bone surface. The eburnated bony surface was then covered utilizing bone wax. The wound was irrigated and closed inlayers. What CPT® codes are reported?(1 Point)28100-LT, 28092-LT28111-LT, 28092-LT28045-LT, 28090-59-LT28122-LT, 28090-59-LT 12.What ICD-10-CM code is reported for personal history of transitional cell carcinoma of the bladder?(1 Point)C67.9Z80.52D01.5Z85.51 13.A surgeon performs a high thoracotomy with resection of a single lung segment on a 57 year-old who is currently a heavy smoker who hadpresented with a six-month history of right shoulder pain that radiates to the chest. An apical lung biopsy had confirmed lung cancer. What CPT®and ICD-10-CM codes are reported?(1 Point)32551, 21602, M25.511, R07.9, F17., M25.511, R07.9, F17., C34.10, F17., C34.10, F17.210 14.What ICD-10-CM code is reported for an adverse effect to diagnostic iodine, initial encounter?(1 Point)T50.995AT49.0X1AT50.8X5AT49.0X5A 15.A 47 year-old male was treated in the ED after being involved in a fight at a local pub. The patient sustained two lacerations, one to the left cheekand one to the left forearm. Abrasions were also on the left cheek. What ICD-10-CM codes are reported?(1 Point)S01.412D, S51.812D, S00.81XD, Y04.0XXD, Y92.29S01.412A, S51.812A, S00.81XA, Y04.0XXA, Y92.29S01.412D, S51.812D, Y04.0XXD, Y92.29S01.412A, S51.812A, Y04.0XXA, Y92.29 16.A 37 year-old has multilevel lumbar degenerative disc disease and is coming in for an epidural injection. Localizing the skin over the area of L5-S1, the provider uses the transforaminal approach. The spinal needle is inserted and the patient experienced paresthesia in her left lowerextremities. The anesthetic drug is injected into the epidural space. What CPT® code(s) is/are reported for this procedure? (1 Point)64483, , 64494 64483 17.Diagnosis: Bulbar urethral strictures Procedure: Cystoscopy and dilation of urethral stricture. Medical Necessity: A very pleasant 36 year-old malewith post void hematuria. Description: A 17 French cystoscope was introduced in the patient's urethra up to the level of the stricture, but I wasunable to pass the urethral stricture with a Super Stiff wire, so I first passed over the Glidewire, removed the cystoscope, placed a Pollock catheterover the Glidewire, and exchanged the Glidewire for a Super Stiff wire. We then removed the Pollock catheter leaving the Super Stiff wire in place asour safety wire. I dilated the patient's urethra to 26 French without difficulty. We reintroduced the cystoscope and noted ablation of the stricture.No masses were noted within the bladder. What CPT® code(s) is/are reported for this service?(1 Point)00, 53605 18.A 23-year-old female is admitted for shock following treatment of a miscarriage. The pathology report from the previous admission reveals thatthe patient had no decidua or products of conception in the tissue removed. This encounter would be coded as:(1 Point)O03.81O08.9R57.9T81.10XA 19.45-year-old patient admitted with insulin dependent diabetes. The type of diabetes is not specified in the medical record. How should this becoded?(1 Point)E11.9, Z79.4E11.8, Z79.4E11.8Z79.4, E11.8 20.A screening colonoscopy is performed on a 50 year-old patient with a family history of colon cancer. Multiple polyps were found during theprocedure. Two polyps in the transverse colon were removed with hot forceps cautery. Three polyps in the ascending colon were removed viasnare. Portions of all polyp tissues were sent to pathology and reported as benign. What are the correct CPT® and ICD-10-CM codes for this patientencounter?(1 Point)45384 x2, 45385 x3, Z80.0, K63.5, Z12., 45385-59, Z12.11, D12.3, D12.2, Z80. x2, 45385 x3, K63., 45385-59, K63.5, Z12.11, Z80.0 21.This patient was admitted for chemotherapy due to a primary hepatocellular carcinoma of the transplanted liver. What codes are assigned?(1 Point)Z51.11, C22.0Z51.11, T86.49, C80.2, C22.0Z51.11, C22.0, C80.2T86.49, C80.2, C22.0 22.Operative Report PREOPERATIVE DIAGNOSIS: Prolapsed vitreous in anterior chamber with corneal edema POSTOPERATIVE DIAGNOSIS SameOPERATION PERFORMED Anterior vitrectomy The patient is a 72 year-old woman who approximately 10 months ago underwent cataract surgerywith a YAG laser capsulotomy, developed corneal edema and required a corneal transplant. The patient has done well. Over the last few weeks, shedeveloped posterior vitreous detachment with vitreous prolapse to the opening in the posterior capsule with vitreous into the anterior chamberwith corneal touch and adhesion to the graft host junction and early corneal edema. The patient is admitted for anterior vitrectomy. PROCEDURE:The patient was prepped, and draped in the usual manner after first undergoing retrobulbar anesthetic. A lid speculum was inserted. An incisionwas made at approximately the 10 o'clock meridian 3 mm in length, 2 mm posterior to the limbus, and grooved forward into clear cornea with a 3.2mm anterior chamber. An anterior vitrectomy was carried out, placing a visco-elastic substance in the anterior chamber to maintain it. A Sinskeyhook was used to sweep vitreous away from the corneal wound and this was removed with the disposable vitrectomy instrument. The patient'spupil is noted to be round. There was no vitreous to the wound. The wound self-sealed without aqueous leak. Cautery was used to close theconjunctiva. Subconjunctival Decadron and Gentamicin was given. The patient tolerated the procedure well and was discharged to the recoveryroom in good condition. What CPT® code(s) is/are reported?(1 Point)5, 67028, 65810, 23.A 65-year-old man presents with noncardiac chest pain, later determined by study to be esophageal acid reflux. What codes should be assigned?(1 Point)I20.9R07.89K21.9R07.9 24.According to CPT, a repair of a laceration that includes retention sutures would be considered what type of clo
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